Publication: Lower urinary tract symptoms and its potential relation with late-onset hypogonadism
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Issued Date
2008
Resource Type
File Type
application/pdf
ISSN
13685538
Other identifier(s)
2-s2.0-45849140201
Rights Holder(s)
มหาวิทยาลัยศรีนครินทรวิโรฒ
Bibliographic Citation
Aging Male. Vol 11, No.2 (2008), p.51-55
Suggested Citation
Pradidarcheep W. Lower urinary tract symptoms and its potential relation with late-onset hypogonadism. Aging Male. Vol 11, No.2 (2008), p.51-55. doi:10.1080/13685530801954026 Retrieved from: https://hdl.handle.net/20.500.14740/3999
Author(s)
Abstract
The study of the health status of the aging male takes presently a more integrative approach and it appears that ailments typical of male aging, such as lower urinary tract symptoms (LUTS), (visceral) obesity, metabolic syndrome and erectile failure are significantly interrelated. A common denominator of the above ailments is lower-than-normal testosterone levels occurring in a significant proportion of elderly men. This review addresses the potential connections between LUTS and late-onset hypogonadism. In animal studies there appear to be androgen and estrogen receptors in the urothelium and smooth muscle cells of the urethra and bladder of the rat and rabbit, as well as in the neurons in the autonomic ganglia of the prostatic plexus of the male rat. Upon castration electrically evoked relaxations of the smooth muscle of the prostatic urethra were decreased. There is a Rho-kinase activation/endothelin pathway; possibly involved in the increased smooth muscle activity found in both LUTS/benign prostate hyperplasia. Nitric oxide (NO) appears to have a smooth muscle relaxing effect in the urogenital organs. Studies in humans have convincingly shown that phosphodiestererase inhibitors have a beneficial effect on LUTS. More intervention studies should be undertaken to test the clinical validity of the theoretically plausible interrelationship between LUTS and late-onset hypogonadism. © 2008 Informa UK Ltd.
Subject(s)
Androgen receptor
Angiotensin II
Endothelin
Estrogen receptor
Nitric oxide
Rho kinase
Testosterone
Aging
Castration
Disease course
Enzyme activation
Enzyme activity
Human
Hypogonadism
Lower urinary tract symptom
Nonhuman
Note
Priority journal
Prostate hypertrophy
Age of Onset
Aging
Animals
Humans
Hypogonadism
Intra-Abdominal Fat
Male
Metabolic Syndrome X
Nitric Oxide
Rabbits
Rats
Receptors, Androgen
Testosterone
Urinary Tract
Urination Disorders
Angiotensin II
Endothelin
Estrogen receptor
Nitric oxide
Rho kinase
Testosterone
Aging
Castration
Disease course
Enzyme activation
Enzyme activity
Human
Hypogonadism
Lower urinary tract symptom
Nonhuman
Note
Priority journal
Prostate hypertrophy
Age of Onset
Aging
Animals
Humans
Hypogonadism
Intra-Abdominal Fat
Male
Metabolic Syndrome X
Nitric Oxide
Rabbits
Rats
Receptors, Androgen
Testosterone
Urinary Tract
Urination Disorders
